Acute Diarrhea Treatment & Workup For USMLE | STEP WISE MANAGEMENT

Acute Diarrhea Treatment & Workup For USMLE | STEP WISE MANAGEMENT
Acute diaarhea treatment and workup is high yield topic for usmle and other exams worldwide.diarrhea treatment and management is very important medical emergency.
Acute diarrhea is defined as the abrupt onset of 3 or more loose stools per day and lasts no longer than 14 days; chronic or persistent diarrhea is defined as an episode that lasts longer than 14 days
Treating Acute Diarrhea
It is important to take plenty of fluid with sugar and salt to avoid dehydration. Salt and sugar together in a beverage help your intestine absorb fluids. Milk and dairy products should be avoided for 24 to 48 hours as they can make diarrhea worse. Initial dietary choices when refeeding should begin with soups and broth.
Anti-diarrheal drug therapy can be helpful to control severe symptoms, and includes bismuth subsalicylate and antimotility agents such as loperamide. These, however, should be avoided in people with high fever or bloody diarrhea as they can worsen severe colon infections and in children because the use of anti-diarrheals can lead to complications of hemolytic uremic syndrome in cases of Shiga-toxin E. coli (E. coli 0157:H7).
Your doctor may prescribe antibiotics if you have high fever, dysentery, or moderate to severe traveler's diarrhea. Some infections such as Shigella always require antibiotic therapy.
Treatment of chronic diarrhea depends on the etiology of the chronic diarrhea. Often, empiric treatment can be provided for symptomatic relief, when a specific diagnosis is not reached, or when a diagnosis that is not specifically treatable is reached.
Antimotility agents such as loperamide are the most effective agents for the treatment of chronic diarrhea. They reduce symptoms as well as stool weight. Attention should be paid to replacing any mineral and vitamin deficiencies, especially calcium, potassium, magnesium and zinc.
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[@tonoyroy9297]

How can i express my gratitude i don't know. This type of video i was searching for years after years

[@dr.usmanawan3596]

This video is jampacked with all important info regarding acute diarrhea.

[@MedNerdDrWaqasFazal]

Thank you very much 😊

[@saritajoshi1944]

Always feels lucky that I find this channel..always a crisp video loaded with full info.thanks a ton doc

[@MedNerdDrWaqasFazal]

So kind of you Sarita Joshi. 😊

[@saahilakhtar8671]

Thank you so much sir. I have been following your videos for quite a while now. It is of immense help for me and for my clinics, as no one explains these topics and methods of treatment.Please keep making videos like this. Thank you for making life easier. From India.

[@MedNerdDrWaqasFazal]

So kind of you Saahil Akhtar... Keep supporting 😊

[@sosohushus8901]

just amazing. I STILL CAN'T BELIEVED I AM ABOUT TO GRADUATE AND MISSED ALL OF THESE TREASURES THAT YOU ARE SHARING WITH US. anyways it is never too late !!!!

[@MedNerdDrWaqasFazal]

It's never too late. I am very happy that you found my videos helpful. 😊

[@debigdogk9563]

Thank you doc, I can’t stop thanking you. God bless you ❤❤❤❤❤

[@MedNerdDrWaqasFazal]

So kind of you for all your comments. 😊

[@sukalyanpanja1558]

Keep posting videos sir.. it's very much helpful

[@benettryan4048]

Such an amazing way of teaching.i always faced difficulty in remembering investigations but this has made such broad topic so easy.thank you

[@MedNerdDrWaqasFazal]

Thank you very much bennet rayan! 😊

[@pulse1272]

Sir , with due respect, for empirical treatment I would avoid ciprofloxacin due to latest guidelines and instead put the patient on Norfloxacin + tinidazole combination. Works all the time with excellent results. Great video , explained very simply and clearly.

[@sahasraprithbi3830]

Can you please tell me the dose and duration of use?

[@pulse1272]

@@sahasraprithbi3830 Norfloxacin (400mg) + Tinidazole (600mg) ....comes as NorfloxTz by Cipla . Minimum 3 days , maximum 5 day ....twice daily for adults only. Please correlate clinically.

[@biseshdas3056]

Can you please specify the source of the guidelines. It would be really helpful

[@SereneRocket-nc9by]

Plz also tells the treatmnt of ecoli dirrhea ​@@pulse1272

[@afrazamjad1644]

Source????

[@drmuhammadmajidameen1436]

Ma sha Allah ❤️.,keep it up sir...bhut achhe se samjhaya h aapne. Har ik topic ❤️

[@MedNerdDrWaqasFazal]

Thank you Dr. Majid for your kind words. 😊

[@zeeshanzulfiqar7015]

This is excellent. Acute diarrhea alogritham explained in such a simple way. Looking forward to your video on chronic diarrhea. 👍

[@MedNerdDrWaqasFazal]

Thank you very much Dr Zeeshan! ❤️

[@sandeepkapoor8890]

we r great ful .That u give us so useful infermation

[@MedNerdDrWaqasFazal]

So nice of you 😊

[@AsadKhan-rw4xf]

This video is awesom...waiting for chronic diarrhea

[@MedNerdDrWaqasFazal]

Thank you very much Asad ❤️. Sure soon will be uploading video on chronic diarrhea

[@nidaqamar4371]

Thanku sir .for sharing such kind of videos...the way u explain is excellent..🙏

[@MedNerdDrWaqasFazal]

Thank you very much Nida Qamar. Keep supporting 😊

[@shayanazizkhattak5776]

Thank you I had been waiting for this!

[@MedNerdDrWaqasFazal]

Thank you Shayan! Stay tuned for video on workup of chronic diarrhea 😊

[@TauseefClub]

Fidaxomicin is now preferred over vancomycin regardless of severity.

[@sagarsanjeevdua2797]

Very nice video . Keep up the good work . Thank you

[@MedNerdDrWaqasFazal]

Thank you very much Sagar Sanjeev Dua. 😊

[@dr.rahulbharat8210]

Thank you so much much for this wonderful session.🙏

[@sumantpirangi8255]

Thanks 👍👍

[@shashankmishra5254]

Mind blowing!

[@moaz4700]

very clear, very nice!
thanks a lot

[@Noorullahandar-b4o]

Sir tanks for you are simple and nice vadio ❤❤❤❤

[@aftabahmad-dg5cv]

More power to you

[@MedNerdDrWaqasFazal]

Thank you aftab bhai ❤️

[@changaizkhan9952]

Very helpful.Mashallah brother

[@MedNerdDrWaqasFazal]

So Nice of you. Keep supporting 😊

[@addprajwal]

Next level lecture... thanks

[@diwashsmile287]

hi dear dr.love from nepal i love the way you describe and explain in simply way.whereas the pictures and well hand written color varient icons for describtion made the video more intresting to learn..hope to see many more videos thanks a lot sir❤️❤️🙏🙏

[@MedNerdDrWaqasFazal]

Thank you very much Diwash Smile. I am glad you found my videos helpful. 😊

[@najeebullah7776]

You are doing a great deal of work.

[@MedNerdDrWaqasFazal]

Keep supporting Najeeb Ullah. 😊

[@ameenullah3584]

Love you from the core of my heart ❤️

[@SereneRocket-nc9by]

Sir plz tells treatmnt for ecolie and giardia

[@medicalstudent9305]

Goooood

[@mostafasalahel-din980]

Excellent job

[@MedNerdDrWaqasFazal]

Thank you Mostafa 😊

[@mrkhan7822]

Good bro

[@marbleworld9253]

Great

[@Sadia748]

thank you.

[@naveedalam6811]

Love from kotjai, thanku sir

[@MedNerdDrWaqasFazal]

Thank you Naveed Alam for your love and support 😊

[@mohitsantoria350]

U r great sir.

[@sumantpirangi8255]

Sir we need treatment like prescription, we give in ER
If possible

[@christinekarimi5335]

Nice lecture

[@ushnar9346]

Should all the red flags be present to go for investigation or any of these should be present?

[@drqasimafridi3652]

Topic is interesting👌👌

[@MedNerdDrWaqasFazal]

Sure it is. Stay tuned for video on workup of chronic diarrhea. 😊

[@bhaiyadr]

Really very crisp information on such an exhaustive topic , I found a important nosology missing in the topic is acute mesenteric ischemia , which also presents with diarrhoea, and missing it in the diagnosis could lead to major complications. Your opinion please.

[@lalalali7118]

Amazing👌🏻👌🏻❤

[@habibakhan7551]

What should be the treatment of diarrhea for bp patients kindly make a video on this

[@msahoo2374]

Excellent🙌🏻

[@DrFour-nl4sq]

Thank you so much sir

[@nishantsrivastava4523]

Thank you for such an informative video. Are the specific treatments for various causative agents within the scope of general practise. if yes, would appreciate an add-on video or perhaps a text for treatment regimen algorithm you would advise. Thanks again Dr.Waqas

[@asadmasood6692]

Sir kindly made videos on how to learn x ray , cbc report urine complete report in detail ..

[@user-mc4bi7vl3m]

Thank you sir

[@arsenaldream2156]

Thank you so much, what if the patient can't provide stool sample and have one of the red flags

[@MedNerdDrWaqasFazal]

Arsenal dream, you may start the empiric therapy with Cipro and metronidazole with fluid resustication. And if the patient is experiencing abdominal pain. Releive the pain with antispasmodics like drotraverine, mebeverine.

[@arsenaldream2156]

@@MedNerdDrWaqasFazal would CBC be valuable if the patient cant provide Stool sample, would it be sufficient to start patient on metronidazole only if I suspect the patient have parastic infection
And in case of children would cefixime and metronidazole be alternative for using cipro and metronidazole

[@arsenaldream2156]

Can you please do video of interpretation CBC and inflammatory markers I would really be grateful. You have an amazing approach and I been watching all your videos

[@gck672]

Thank u sir…But I have a doubt.Have heard that loperamide is used only in noninfective diarrhoea? Should or can we use it for infective diarrhoea?

[@MedNerdDrWaqasFazal]

If patient is having abdominal pain with diarrhea avoid loperamide because loperamide will exacerbate abdominal cramps and pain. Use loperamide in watery diarrhea with no abdominal pain.

[@gck672]

@@MedNerdDrWaqasFazal Thank u so much sir🙏

[@chandruganesan6636]

Loperamide dose sir..?and also can we use racedotril.?

[@faisalization]

What an excellent video it is! ❤️

[@MedNerdDrWaqasFazal]

Thank you very much. Your videos are amazing too. Subscribed 😊

[@faisalization]

How can I contact you brother?

[@sarahjoshuashezy5757]

What an amazing video you really explain it very well thank you

[@jwanalsofi5549]

Thanks a lot for this amazing video. Can you mention the resource you follow ?

[@MedNerdDrWaqasFazal]

Thank you very much jwan Al sofi! I make these videos using multiple resources mostly from CURRENT medical diagnosis & treatment, Davidson medicine and kumar and Clark clinical medicine. 😊

[@anilthilakarathne993]

Thankyou ❤❤❤❤

[@MedNerdDrWaqasFazal]

You're welcome 😊

[@subhojitpaul6377]

Can ornidazole or other nitroimidazole be used in antibiotic associated dirrahoea???

[@zohebmulla3670]

Sir in typhoid fever....metronidazole is given...for diarrhea in children?

[@naseemanesi2078]

A patient has diarrhoea fever , abdominal pain some other symptoms the drug of choice is

[@chakrikonakalla6182]

how to treat infectious diarrhea?

[@umerkhan7545]

Excellent bro.
Is this for step one or step two

[@MedNerdDrWaqasFazal]

Umer Khan it's for both. But mainly for step 2 ck & PLAB and clinical years of med school.

[@hamzasiraj4764]

👌🏼👌🏼❤

[@ameenullah3584]

Plz plz also tell dose

[@ameenullah3584]

Just want to hug you long time

[@xianoor389]

High BP

[@twdoctorhk2255]

here is a more complete flowchart
facebook.com/615598082416899/photos/a.619886505321390/630448200931887/?type=3&theater

[@beenie_2357]

I’m shitting water😭

[@parwazp2608]

Use racecadotril

[@Jihadissolution]

Level ❤❤❤❤

[@sandeepkapoor8890]

we r great ful .That u give us so useful infermation